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Identity formation among immigrant communities, particularly for ethnic–racial minorities like Asian Indian Americans, is a multifaceted process. Shaped by preimmigration histories of British colonization and the caste system and the Indian diasporic postimmigration, experiences of physical and psychological displacement alongside racism in the United States contribute to the complexity of identity for this community. Although existing racial and ethnic identity models offer valuable frameworks, they may not fully capture the nuanced in-between spaces created by the intersectionality of ethnicity and race for Asian Indian Americans in the United States. Drawing from psychological critical race theory (CRT), Asian CRT, DesiCRT, and colonial mentality framework, this article proposes a unique identity model tailored to Asian Indian American experiences. Drawing from recent research, the model illuminates the dynamics of pre- and postimmigrant frictions in the negotiations and coping inherent in Asian Indian American identity formation. By using a multidimensional lens that captures tensions between ethnic identities based in sociopolitical histories and dominant societal categorizations and racism in the United States, this model aims to provide a more comprehensive and strength-based understanding of Asian Indian American identity development across the lifespan of multiple generations. Public Significance Statement: This article advances the idea that Asian Indian American identity is shaped by pre- and postimmigration contexts and generational experiences, with race and ethnicity holding different meanings based on the internalization of and coping with race and racism. The article and proposed model highlight the risk of overemphasizing ethnicity versus race and minimizing the ingrained role that race plays in the U.S. culture and structure for Asian Indian American communities. [ABSTRACT FROM AUTHOR]

Adolescence is a critical period for health literacy (HL) development and for decision-making regarding substance use behaviors. Little is known about which sociodemographic factors are related to the three major components of HL (i.e. functional, interactive, critical HL) and the extent to which these components of HL moderate the relationship between sociodemographic determinants of substance use avoidance and avoidance for adolescents. This study aimed to identify sociodemographic determinants of functional, interactive, critical and composite HL among adolescents, and to assess HL's role as a determinant and moderator of substance use avoidance. Data were collected from 675 adolescents (mean age = 15.5 years, ~53% girls, ~32% Hispanic/Latine) through Qualtrics survey panels and in school settings. Participants completed surveys on social and demographic factors, HL, and substance use. Binary and multinomial logistic regressions were used to address the study aims. In adjusted analyses, adolescents who were girls, Hispanic/Latine (vs. White), food secure, English proficient, had private communications with health providers, and those without impaired decision-making had higher odds of having high HL. Having higher functional, interactive and composite HL increased the odds of substance use avoidance and moderated the effect of age, with younger adolescents with higher HL (vs. low HL) having greater odds of substance use avoidance. Our findings suggest that HL may act as a protective factor against the initiation of substance use in younger adolescents. Thus, HL may be a good intervention strategy to delay substance use initiation for younger adolescents. [ABSTRACT FROM AUTHOR]

Improving communication between American Indian caregivers and their youth has been suggested as an Indigenous-forward strategy to help alleviate the sexual and reproductive health (SRH) disparities faced by American Indian youth as a result of the legacy of colonial violence against American Indian communities. Studies with non-American Indian and American Indian populations suggest that effective communication about SRH between parents and youth plays a role in reducing sexual risk behaviors among youth. There is limited research that examines youth sexual risk behaviors in relation to communication patterns separately assessed in caregivers and youth. The current study aimed to examine the association between caregiver-youth communication patterns and engagement in sex, age at sexual debut, and condom use among American Indian youth in the United States. The study draws on baseline caregiver and youth data collected from Nen ŨnkUmbi/EdaHiYedo, a stepped wedge design trial with American Indian youth living on the Fort Peck Reservation in Montana. 113 caregiver responses were matched to 145 youth for the current study. Caregiver-youth communication patterns were examined in relation to youth engagement in sex, age at sexual debut, and number of protected acts of vaginal and/or anal sex. Multivariable models were used to adjust for confounders and to examine relationships between caregiver-youth communication and youth sexual risk outcomes. An increase in overall level of self-reported youth communication with caregivers about sexual and reproductive health topics was significantly associated with a greater likelihood of youth ever having engaged in sex. A significant interaction effect between youth communication and convergence with caregiver response was observed for the number of protected acts of vaginal and/or anal sex, where caregiver communication (regardless of self-reported youth communication with caregivers) was associated with a greater number of protected sex acts. This study fills a gap in the extant literature by reporting on relationships between communication about SRH, assessed separately in caregivers and youth, and youth sexual risk behaviors. Findings emphasize the importance of involving American Indian caregivers in SRH interventions to improve SRH outcomes among American Indian youth, and inform future experimental research that will evaluate how changes in caregiver communication potentially impact youth SRH. [ABSTRACT FROM AUTHOR]

Despite higher income and education, there are profound health disparities among Asian Americans. These disparities are highlighted in particular by screening behaviors for cancer. Between 1998 and 2008, cancer rates increased threefold among Indian Americans, raising concern that cancer screening in this group may be especially low. To better understand cancer screening behavior, we collected data from a total of 157 self-identifying Indian Americans residing in the greater Philadelphia area. Nearly all participants reported having health insurance (98.7%), and most had received a physical exam within a year (87.3%). Only17.4% of the participants were referred for mammography, while 30% of participants over age 30 were referred for ovarian cancer screening. Just 4 participants were recommended for pancreatic cancer screening. The findings contribute new information to the understanding of health needs of Indian Americans residing in the greater Philadelphia region and reveal a need for greater focus on preventive care. [ABSTRACT FROM AUTHOR]

The journal "WeltTrends" discusses in the article "China and India: Convergent Visions of the Asian Security Order" the Chinese and Indian ideas of an Asian security order. China emphasizes an open, multipolar vision, while India has a more fragmented vision. Both countries aim for a peaceful, stable Asia, reject collective security, and promote cooperative security. China prefers an "Asia for Asians" concept, while India is open to non-Asian actors. [Extracted from the article]

Purpose: To examine quality of life (QoL) and mental health among Asian Indians in Southwest and Central-west Florida by COVID-related lifestyle changes, and demographic characteristics. Methods: QoL was assessed using SF-12 questionnaire while mental health/healthcare was assessed using the household pulse survey. Face-to-face interviews and self-administered online surveys were conducted among 151 participants in 2021–22. F and Chi-square statistics were used to examine the differences in QoL scores and mental health/mental healthcare by sociodemographic factors and COVID-related lifestyle changes. Results: Mental Component Summary (MCS) scores were lower for those who experienced changes in work expectations (p 0.041), sleep (p 0.002), exercise (p < 0.001), meditation (p.004) and connecting with family (p 0.007) and among those with family testing COVID positive (p.012). Mean Physical Component Summary (PCS) scores were lower for caregivers (p.008). PCS scores were lower for certain income groups (p 0.006), retired (p 0.004), older age groups (p 0.002). Lower MCS scores with college education (p.005), those who were students (p <0.001), younger age groups (p < 0.001). Those who helped with homeschooling felt anxious (p 0.049), couldn't stop worrying (p 0.046) and took medications (p < 0.001). Participants' families who tested COVID positive were anxious (p = 0.019) and worried (p = 0.015). Those with greater work expectations sought counseling (p = 0.009) and those who connected more with their family were anxious (p = 0.008). Conclusion: The pandemic affected QoL, especially the mental component and increased anxiety and worrying. Mental health services for younger individuals, those with caregiving responsibilities and facing increased job demands must be prioritized. [ABSTRACT FROM AUTHOR]

Objectives: Crucial to the resettlement experiences of immigrants is the degree to which the receiving country accepts them and affords them social support and opportunities. Through the factor structure and incremental validity of scores generated by the Negative Context of Reception (NCR) Scale, in the present study, we examine Indian American youths' perception of their context of reception using a sample of youth residing in the United States. Method: Data came from a sample of 223 Indian American youth (aged 12–17) as part of a larger convergent mixed-methods project. Using confirmatory factor analysis, we examined the scale's validity and the relationship between perceived NCR and criterion-related factors such as perceived discrimination and depressive and anxiety symptoms. Interpretive Phenomenological Analysis was then used to analyze qualitative data from 11 of these Indian American youth. Qualitative data provided additional insights about NCR in this population. Results: NCR scores evidenced strong psychometric properties among Indian American youth. Confirmatory factor models demonstrated good model fit. NCR yielded significant associations with perceived discrimination (r =.33, p <.001) and depressive symptoms (r =.25, p <.002). Two major themes (parental/family sacrifices and being treated differently from White peers) emerged from the qualitative data. Conclusions: Results validate NCR as a construct relevant to Indian American youth and associated with negative mental health symptoms such as anxiety and depression. Furthermore, these results underscore the importance of a welcoming and supportive environment for Indian American youths' well-being. Public Significance Statement: Indian Americans are the second largest immigrant group in the United States. Crucial to Indian Americans' well-being is the degree to which they are accepted by the receiving country and afforded social support and opportunities. As the first study to use the Negative Context of Reception Scale with Indian Americans or with any Asian American population, the present research adds to the knowledge base about the negative context of reception and cultural stress research generally. [ABSTRACT FROM AUTHOR]

Background: American Indian (AI) adolescents report earlier initiation and higher rates of cannabis and alcohol use compared to their non-AI peers. Simultaneous cannabis and alcohol (SCA) use is increasingly common. A primary goal of our research was to identify profiles of cannabis and alcohol use, including SCA use, among AI adolescents using latent class analysis (LCA). Method: Data from 1,673 7th–12th grade students attending 45 reservation-area schools throughout the United States who reported using alcohol and/or cannabis in the past year were used to identify the latent classes. Multinomial logistic regression analysis determined associations of sex, grade, and multiethnicity to class membership. Results: A four-class solution was found: (1) SCA-Heavier Use (16.1%); (2) SCA-Lighter Use (25.2%); (3) Primarily Cannabis Use (33.3%); and (4) Primarily Alcohol Use (25.4%). Multinomial regression showed higher grade, identifying as multiethnic, and being female were associated with higher likelihood of membership in the SCA class. Conclusion: AI adolescents were more likely to be classified in the Primarily Cannabis Use class as compared to all other classes. Characterizing profiles of use may help identify those engaging in risky or co-use and help researchers and clinicians better understand how AI adolescents engage with alcohol and marijuana. [ABSTRACT FROM AUTHOR]

Health Information Seeking Behavior (HISB) refers to the behavior and strategies used to attain, clarify, or confirm health information. The uptake of health information depends on system-level and individual-level factors. The purpose of the present study is to understand the sources from which Punjabi elders obtain COVID-19 vaccine-related information and their information seeking behavior. A cross-sectional survey was conducted among 391 Punjabi elders aged 50+ years in the Greater Toronto Area (GTA), Ontario. The survey questions included the need for COVID-19 vaccine information, the type of information sought, sources of information, and barriers to seeking information. Descriptive analysis was conducted using frequencies and percentages, and logistic regression was performed to understand the associations between participants' sociodemographic characteristics and HISB. The results suggested that Punjabi elders are more likely to use informal sources and less likely to seek information from health professionals and government health and wellness websites. The results also suggested that most participants do not cross-check their information with other sources and are more likely to cross-check the information with family/friends, compared to credible care providers, across all demographics. Ultimately, there may be a need for stakeholders to collaborate to regulate the accuracy and type of health-information that is disseminated through media, and to tailor health communication to the health information seeking behavior of this population. [ABSTRACT FROM AUTHOR]

Parent–child conversations about race‐related issues serve a protective function for minoritized families and are needed to help children of color thrive in the United States (Hughes et al., Advances in Child Development and Behavior, 51, 2016 and 1). Despite the difficulties that parents experience in having such conversations to prepare youth to cope with discrimination (Priest et al., International Journal of Intercultural Relations, 43, 2014 and 139), parents are actively engaging in these courageous conversations with the aim of protecting their youth. In order to fully understand and support parents having these conversations, our study sought to identify conversation facilitators (i.e., strategies currently being implemented and viewed as successful and/or viewed as potentially helpful) to engage in preparation for bias and racial–ethnic discrimination conversations from the perspective of parents and youth. The current qualitative study draws upon focus group data collected from parents and youth from African American, Chinese American, Mexican American, and Indian American (South Asian) families (N = 138 individuals; 30 focus groups). Reflections were transcribed and coded by a racially and ethnically diverse research team using an inductive thematic analysis approach (Braun & Clarke, Qualitative Research in Psychology, 3, 2006 and 77). Shared and unique facilitators to engaging in preparation for bias and racial–ethnic discrimination conversations were identified across the four racial–ethnic groups. Shared facilitators broadly centered on parent–youth relationship quality, conversation characteristics, and quality, and conversation content and relevance. Unique facilitators broadly centered on communication style and needs and conversation content. Shared and unique facilitators warrant more attention to best support minoritized families. The use of findings in developing interventions to support marginalized parents, youth, and families is addressed. [ABSTRACT FROM AUTHOR]

Studies on ovarian cancer (OC) diagnosis, treatment and survival across disaggregated Asian sub-ethnic groups are sparse. Few studies have also conducted trend analyses of these outcomes within and across Asian groups. Using logistic, Cox, and Joinpoint regression analyses of the 2000–2018 Surveillance, Epidemiology, and End Results (SEER) data, we examined disparities and trends in OC advanced stage diagnosis, receipt of treatments and the 5-year cause-specific survival across seven Asian sub-ethnic groups. There were 6491 OC patients across seven Asian sub-ethnic groups (mean [SD] age, 57.29 [13.90] years). There were 1583(24.39%) Filipino, 1183(18.23%) Chinese, and 761(11.72%) Asian Indian or Pakistani (AIP) patients. The majority (52.49%) were diagnosed with OC with at an advanced stage. AIP were more likely to have advanced stage diagnosis than other subgroups (ORs, 95%CIs: 0.77, 0.62−0.96 [Filipino]; 0.76, 0.60−0.95 [Chinese]; 0.71, 0.54−0.94 [Japanese]; 0.74, 0.56−0.98 [Vietnamese] and 0.66, 0.53−0.83 [Other Asians]). The Filipinos were least likely to receive surgery but most likely to undergo chemotherapy. Japanese patients had the worst 5-year OC cause-specific survival (50.29%, 95%CI: 46.20%−54.74%). Based on the aggregated analyses, there was a significantly decreased trend in advanced-stage diagnosis and an increased trend in receipt of chemotherapy. Trends in OC outcomes for several subethnicities differed from those observed in aggregated analyses. In this cohort study of 6491 patients, OC diagnosis, treatment, survival, and trends differed across Asian American ethnic subgroups. Such differences must be considered in future research and interventions to ensure all Asian American subethnicities equally benefit from the advancements in OC care and control. [ABSTRACT FROM AUTHOR]

This article reports a longitudinal study comparing religiosity among two cohorts of Indian older adults—those who age in the homeland of India (AIH cohort) and immigrants (to the USA) or diaspora older adults (DOA). Results indicated that AIH and DOA cohorts' religiosity outcomes were comparable at baseline but there was a statistically significant increase in all outcomes of the DOA cohort at subsequent time points. Women and single older adults in both the cohorts had higher religiosity scores at baseline. Religiosity scores were higher among those in the DOA cohort who migrated following marital disruption (widowhood, divorce) or grandchild birth and lived with adult immigrant children and their families. The immigration process can have an impact on religious orientation of older adults and place is a significant variable impacting religiosity possibly for augmenting the sense of self, acquire social capital and preserve cultural identity in the foreign land. [ABSTRACT FROM AUTHOR]

This article seeks to understand to what extent cultural engagement and substance use risk factors influence families' decisions to participate, and ultimately complete, a culturally grounded substance use prevention program. Using data from a 14-week culturally oriented family-based substance use prevention program, we examine predictors of successful recruitment and retention of American Indian youth and their caregivers. Guided by the theoretical model for developing culturally specific preventions, the community-based approach to recruitment resulted in 85.6% of eligible families from two American Indian communities agreeing to participate in the randomized controlled trial. After completion of baseline surveys, 57.3% of the intervention selected families initiated participation in the program sessions and 67.8% of these families completed participation in the program. We used logistic regression to analyze two different models: one that predicted whether invited families chose to participate and whether participating families attended eight or more sessions. Important predictors of participation in the intervention program included single-caregiver households, youth Indigenous language and cultural identity, youth early substance use initiation, and household substance use exposure. Overall, results from this study highlight the importance of fully engaged community research partnerships for multi-session family-based interventions, while identifying potential challenges to program recruitment and participation. [ABSTRACT FROM AUTHOR]

Multiple studies have shown that racially minoritized groups had disproportionate COVID-19 mortality relative to non-Hispanic White individuals. However, there is little known regarding mortality by immigrant status nationally in the United States, despite being another vulnerable population. This was an observational cross-sectional study using mortality vital statistics system data to calculate proportionate mortality ratios (PMRs) and mortality rates due to COVID-19 as the underlying cause. Rates were compared by decedents' identified race, ethnicity (Hispanic vs non-Hispanic), and immigrant (immigrants vs US born) status. Asian race was further disaggregated into "Asian Indian," "Chinese," "Filipino," "Japanese," "Korean," and "Vietnamese." Of the over 3.4 million people who died in 2020, 10.4% of all deaths were attributed to COVID-19 as the underlying cause (n = 351,530). More than double (18.9%, n = 81,815) the percentage of immigrants who died of COVID-19 compared with US-born decedents (9.1%, n = 269,715). PMRs due to COVID-19 were higher among immigrants compared with US-born individuals for non-Hispanic White, non-Hispanic Black, Hispanic, and most disaggregated Asian groups. Among disaggregated Asian immigrants, age- and sex-adjusted PMR due to COVID-19 ranged from 1.58 times greater mortality among Filipino immigrants (95% confidence interval [CI]: 1.53, 1.64) to 0.77 times greater mortality among Japanese immigrants (95% CI: 0.68, 0.86). Age-adjusted mortality rates were also higher among immigrant individuals compared with US-born people. Immigrant individuals experienced greater mortality due to COVID-19 compared with their US-born counterparts. As COVID-19 becomes more endemic, greater clinical and public health efforts are needed to reduce disparities in mortality among immigrants compared with their US-born counterparts. [ABSTRACT FROM AUTHOR]

Although Indian Americans constitute the second-largest immigrant group in the United States, there is a paucity of information about Indian American youth, particularly with respect to substance use risk. We examined the relationship of social factors to permissive substance use beliefs (a proxy for substance use risk since they can lead to adulthood substance use and misuse) and family functioning. The study used structural equation modeling to examine the prevalence of permissive substance use beliefs in a sample of Indian American youth ages 12–17 (N = 223) and examined the degree to which discrimination, bicultural identity integration, and endorsement of the model minority stereotype were associated with permissive substance use beliefs. Findings suggest that bicultural identity integration (B = 0.267 [SE = 0.112], p = 0.01) and discrimination (B = 0.294 [SE = 0.087], p = 0.001) are positively associated with permissive substance use beliefs. Bicultural identity integration (B = 0.415 [SE = 0.090], p = 0.0001) was positively associated with family support (B= −0.329 [SE = 0.108], p = 0.002) which, in turn, was associated with less permissive substance use beliefs. In contrast, endorsement of the model minority stereotype (B = 0.351 [SE = 0.090], p = 0.001) was positively associated with family closeness (B = 0.232 [SE = 0.927], p = 0.01) which, in turn, was associated with family support and then with less permissive substance use beliefs. Discrimination and bicultural identity integration emerged as key constructs related to substance use risk among Indian American youth. These youth could benefit from culturally appropriate prevention programming that addresses the negative impact of discrimination and its effect on permissive substance use beliefs and highlights protective factors. [ABSTRACT FROM AUTHOR]

Few studies have focused on the racial socialization of Indian Americans, particularly those raised in the United States. The present study explored 1.5 and 2nd generation Indian Americans' experiences of racial socialization in multiple contexts. Forty-four adult Indian Americans from diverse regions of the United States participated in semi-structured focus group interviews via video teleconference. Sixteen participants were 1.5 generation and 28 were 2nd generation. Data was analyzed using grounded theory. The results indicated three interrelated domains including: (a) Discussion of Race and Racism; (b) Awareness of Self in the Context of Racial and Cultural Differences; and (c) Role of Intra- and Inter-group Biases. The findings underscore how the minimization of racism within and outside of Indian American contexts, a colonial mentality transmitted intergenerationally, and negative impacts of casteism, sexism, and racism may influence one's racial consciousness and racial socialization. Implications for culturally informed research, practice, advocacy, and training are detailed. [ABSTRACT FROM AUTHOR]

The abundance of country-level socio-economic development indices is of limited help unless sub-country-level indices on the quality of policies are also available. Tracing the regional indices landscape of India, this study proposes the state-level Environment Policy Stringency Index for Indian states. Capturing Indian states' policies across six areas with weight determination done deploying principal component analysis and Data Envelopment Analysis-Benefit of Doubt approach, the composite index calculated in the study also examines the scores grouping the sub-national units based upon the income levels. Besides ranking for inter-state comparison, the proposed index is significantly associated with particulate matter pollution levels in states. This study has three key contributions: conceptualising the principal-based sub-national index while making a case for developing sub-country level policy indices, identifying state-level environment policy variables and constructing an Environment Policy Stringency Index for Indian states. [ABSTRACT FROM AUTHOR]

Disparities impacting dementia health care exist in racial/ethnic minority groups, including Asian Americans, an understudied population in Alzheimer's disease and related dementias. The qualitative study explored caregiving experiences and potential cultural influences among Asian Indian, Chinese, Korean, and Vietnamese family care partners of persons living with dementia. We conducted focus groups and individual interviews with 32 care partners from these four Asian subgroups using Zoom, WeChat, or telephone. Four themes emerged from the data: (1) Family obligations influencing caregiving decisions; (2) Evolving challenges related to dementia caregiving; (3) Caregiving burdens/negative impacts from caregiving (relationship burdens and emotional distress); and (4) Coping with their situation in their own ways (cognitive, behavioral, and social strategies).Conclusion: Cultural values (e.g. familism or filial piety) played a significant role in caregiving decisions and experiences. There was a need to raise public awareness of dementia and create culturally and linguistically appropriate training programs for this population. [ABSTRACT FROM AUTHOR]

This article aims to obtain a set of erotic and gory pictures from the International Affective Picture System (IAPS) for use in studies across India. Additionally, it compares the ratings of a representative Indian sample with North American norms. Using the Self-assessment Manikin, adult Indian participants rated 72 arousal-matched IAPS pictures on emotional dimensions of arousal, valence and dominance. The ratings of the Indian and North American samples for valence were similar, but arousal and dominance ratings differed significantly. According to the valence–arousal relationship, the Indian sample's emotional reactions to the unpleasant pictures compared to the pleasant ones were stronger. The Indian sample's affective space of valence and arousal had a more curved and deeper boomerang pattern than the North American sample. The divergences in arousal and dominance ratings are attributed to cultural differences in interpreting affective information specific to erotic and gory pictures. Although there are marked similarities between the Indian and North American ratings, careful consideration of country-specific normative ratings is recommended for erotic and gory IAPS pictures. [ABSTRACT FROM AUTHOR]

Objective: This interpretive phenomenological analysis study aimed to explore the marriage experience of diaspora Indians who chose to marry a non‐Indian partner and to fill in the literature gap to inform the counseling practices. Background: Diaspora Indians have the lowest level of interracial marriage of any immigrant group living in the United States at about 20%. The resistance to marrying someone of another culture and insufficient empirical research in the field makes it difficult for counselors to adjust counseling services when dealing with diaspora Indian interracial couples. Method: Using interpretivism and phenomenology as the philosophical ground for the research, the researcher explored the subjective experiences of interracial marriage among diaspora Indians through in‐depth interviews, which were transcribed and analyzed using coding and thematic analysis. Results: The results illustrate those cultural issues, based on the differences between the collectivist nature of the Indian American community and the individualist American culture, caused considerable stress on interracial marriage and were the major driver of therapeutic intervention for the interracial couple. Conclusion: The study identified various coping mechanisms that could potentially reduce marital stress among diaspora Indians engaged in interracial marriage. Findings indicate that the cultural perspective should be at the core of counseling services rendered to interracial couples. Implications: Multicultural competence and cultural humility are essential for helping practitioners to understand nuances related to interracial marriage, especially those joining the collectivist diaspora Indian culture with that of more individualistic races and ethnicities in the United States. Future studies in the field may use longitudinal research for observing the evolution of interracial couples while managing their cultural differences and other marital issues. [ABSTRACT FROM AUTHOR]

Background: Studies have shown lower rates of cancer screening and high mortality rates among all Asian Americans than among non-Hispanic White populations. However, most of these studies often confound diverse Asian American subgroups with limited data on cancer screening for Indian Americans, with this group being particularly interesting because of their counterintuitive socioeconomic status. For this reason, the objective of this study is to evaluate knowledge of the United States Preventive Services Task Force (USPSTF) cancer screening guidelines and compliance among South Indian Americans residing in Southern California. Methods: This was a cross-sectional study gathering community responses through an electronic survey. The survey reports knowledge of USPSTF screening guidelines and participant compliance rates. Rates were further compared to non-Hispanic White populations from official sources. Results: South Indian Americans residing in California had lower rates of compliance for colorectal, lung, and breast cancer screening when compared to that of non-Hispanic White populations in the same region, with the exception of cervical cancer screening rates. Conclusion: Understanding the cultural characteristics of special populations, such as Indian Americans, can help communities adhere to more effective screening practices that can improve outcomes. [ABSTRACT FROM AUTHOR]

This article discusses a qualitative research study conducted with Indian American mothers of children with disabilities. The study aimed to explore the mothers' perspectives and experiences of the transition process for their children. The findings highlighted the challenges faced by culturally diverse families in navigating multiple transitions within the education system and accessing appropriate supports and services. The study emphasized the importance of understanding the complex and hybrid perspectives of these mothers and avoiding simplistic interpretations. The researcher, Dr. Shridevi Rao, specializes in special education and qualitative research, with a focus on disability in the Global South and inclusive education. [Extracted from the article]

The author shares her journey as an Indian American within the U.S. education system, weaving personal experiences using Krashen's Affective Filter Hypothesis. From early linguistic challenges to transformative moments in higher education and as a secondary teacher, the author reflects on the impact of educational environments on identity and language development. Her narrative resonates with Krashen's principles and emphasizes the importance of translanguaging and how raciolinguistic ideology impacted her early schooling years. This narrative serves as a testament to the enduring interplay between emotions and learning, showcasing the universal significance of fostering supportive environments for language acquisition and personal growth within the realm of education. The author highlights the importance of inclusive education, culturally responsive pedagogy, and recognizing student identity within the classroom setting. [ABSTRACT FROM AUTHOR]

Minoritized ethnic groups experience both delay to treatment and low rate of treatment contact for attention deficit/hyperactivity disorder (ADHD). To date, Asian Indian Americans have been excluded completely from ADHD help-seeking research. To fill this void, the Theory of Planned Behavior (TPB) was used to investigate the influence of race/ethnicity on parents' help-seeking intentions for their child's elevated ADHD symptoms. Parents (n = 191, 53% Asian Indian American, 47% European American; 63.9% fathers) of treatment naïve children at high risk for ADHD completed an online survey to assess their recognition of ADHD, knowledge of ADHD etiology, attitudes towards ADHD treatment, subjective norms regarding ADHD treatment, perceived control over their ADHD help-seeking behavior, and intention to seek help for their child's elevated ADHD symptoms. Hierarchical linear regressions demonstrated that perceived behavioral control independently predicted intention to seek help in the total sample and may be more impactful for European American parents than Asian Indian American parents. In contrast, subjective norms were more influential for help-seeking intentions among Asian Indian American parents. However, attitudes towards ADHD were not significantly associated with the intention to seek help among both ethnicities. Asian Indian American parents endorsed lower levels of biopsychosocial etiology beliefs. Together, the results inform possible methods of increasing treatment engagement for both groups of parents who have children at high risk for ADHD. [ABSTRACT FROM AUTHOR]

Topic. Limited research has examined trauma and posttraumatic stress disorder (PTSD) among Asian Indians in the U.S. Thus, we (1) synthesize literature on trauma, PTSD, disparities in treatment for PTSD, the burden of untreated PTSD, and culturally-adapted (CA) PTSD interventions; and (2) discuss recommendations for clinicians/researchers working with this population. Method. We searched two databases using keywords related to Asian Indians, PTSD, and interventions. Of 238 identified articles, we used content from 26 articles to inform our review. Findings. Asian Indians report traumatic experiences before, during, or after immigration to the U.S. and consequential PTSD symptoms. Further, Asian Indians in the U.S. are disproportionately impacted by socio-cultural and economic determinants of poor mental health (e.g., shame/stigma associated with seeking mental health services, few culturally-responsive services), which may contribute to the under-reporting of PTSD and (interpersonal) traumas and less willingness to seek treatment. Additionally, CA PTSD interventions tailored to Asian Indians in the U.S. have not been developed. Socio-cultural considerations that can inform CA PTSD interventions for Asian Indians include: causal conditions (e.g., culturally-rooted beliefs about trauma/PTSD), intervening conditions/barriers (e.g., emotional inhibition), and mitigating/coping strategies (e.g., religious/spiritual practices, cultural idioms of distress). These considerations influence clinician/treatment preferences (e.g., solution-oriented and structured therapy, less emotional exposure). Lastly, we outline recommendations for clinicians/researchers: (1) need for national studies on trauma, PTSD, treatment utilization, and the burden of untreated PTSD; (2) consideration of immigration-related experiences influencing PTSD; (3) consideration of socio-cultural elements for CA PTSD interventions; and (4) need for culturally-valid PTSD assessments. [ABSTRACT FROM AUTHOR]

Many Indian international students are studying in American colleges and universities. Education abroad in an unfamiliar environment can be challenging for students. Thus, the present study investigated the coping strategies employed by six Indian international students studying in the United States (U.S.), using phenomenological data analysis methodology. Participants expressed invariant constituents, classified into four coping strategy themes: (1) open-mindedness, (2) goalorientedness, (3) an independent attitude, and (4) showing gratitude. Further, emerging from the data were the ways in which these coping strategies could be acquired. Findings have implications for international student advisors working in the university sector. Universities can play a vital role in promoting such coping strategies to enhance the well-being of international students. [ABSTRACT FROM AUTHOR]

This article introduces the concept of shared identity endorsement narratives (SIENs), or celebrity endorsements of political candidates that intentionally highlight shared social identities between the endorser and the endorsed. Scholars of celebrity endorsements in political contexts have primarily focused on the efficacy rather than the rhetorical content of these endorsements and what latent social structures make them effective. Through close readings of two SIENs of Vice President Kamala Harris by American celebrities of Indian descent, I draw upon social identity theory to elucidate the ways in which these endorsements create valuable networks of support for Indian Americans, but simultaneously create homogenizing articulations of Indian American identity that exploit caste, ethnolinguistic, and racial differences. Analyzing how Indian Americans and other minority groups present themselves/connect with their community provides insights into what it takes to succeed in America's diversifying political and media landscape. [ABSTRACT FROM AUTHOR]

This paper explores the motivations and actions of Indian Americans who actively oppose Hindutva, that is, a Hindu nationalist vision for India. Diaspora activists who advocate in favour of progressive values for India tend to be underreported in the media and underanalysed in scholarship. The following study addresses this gap. Based on public records, interviews with activist leaders, and participant‐observation, the paper demonstrates how anti‐Hindutva diaspora actors identify and leverage political opportunities in order to engage in moral signalling in local, national and global spaces. By shining a light on ongoing counternarratives to Hindutva, this study highlights contestations within Indian‐origin communities and challenges monolithic portrayals of diaspora politics. [ABSTRACT FROM AUTHOR]

Informed by AsianCrit, sociocultural literacy studies, and solidarity scholarship, this article examines how an Indian American woman scholar-practitioner and eight Indonesian American girls collectively engaged with civic learning in an out-of-school critical English education space. The researcher offers the construct of solidarity-as-project by tracing examples of how the facilitator and participants crossed boundaries of identity and experience to interdependently learn about and centralize Asian American civic legacies. The researcher also considers the complications of power and diversity in those co-learning processes. The article concludes with recommendations for how English teacher education can orient teacher candidates toward enacting solidarity-as-project alongside Asian American girls and young women. [ABSTRACT FROM AUTHOR]

The article focuses on the progress made toward achieving equitable mpox vaccination coverage in the United States from May 2022 to April 2023, analyzing the shortfall in vaccination rates among different racial and ethnic groups. The study reveals that while there were overall reductions in vaccination shortfalls, disparities persisted, with higher shortfalls observed among Black and American Indian or Alaska Native populations.

Humanitarian action is commonly thought to involve two types of aid providers: international and local actors. But this tends to ignore a third humanitarian domain, namely transnational humanitarianism during conflicts, global epidemics and natural disasters by diaspora individuals and organisations. These transnational connections, which involve the mobility of people, goods and money, significantly change the context in which global humanitarian actors function and may have notable secondary effects on other aid providers. We contend that the significance of diaspora humanitarianism during natural disasters and the COVID-19 pandemic has still not been thoroughly explored in the academic literature and remains relatively 'invisible' in aid practices and policies. This article arises from an empirical study on the significance of diaspora in humanitarian action by analysing the impact of diaspora remittances and organisations that have emerged as an important potential for diasporas during humanitarian action. To examine the potential and role of the diaspora in humanitarian action, this article makes the case for the Indian diaspora's humanitarian potential and efforts, particularly during the COVID-19 pandemic in India. [ABSTRACT FROM AUTHOR]

The gradual elevation of India-US relations over the past few decades highlights a significant convergence of interests, a similarity in dominant political discourse and a converging geopolitical environment that has aided this elevation. This article explores engagements between India and the US within the Af-Pak arena, reflected in policy discourse and public pronouncements in both countries. It does so through a critical discourse analysis and examination of personal, national interest, and broader structural calculations that have driven Indian and American policy engagement reflected in their policy positions with regards to Afghanistan and Pakistan. [ABSTRACT FROM AUTHOR]

This article uses the conceptual space of "brown blood" to analyze United States v. Bhagat Singh Thind at the intersection of race and caste. The racial politics of blood has been somewhat submerged in the ongoing discussions of racism and racialization, which have been dominated by the representational politics of skin color. However, the Thind case, as I argue, hinges on an understanding of racial blood politics that intersected with casteist discourses that were also emerging globally. On the one hand, brown blood represents the romantic ideas associating brownness with assimilation. This dimension of brown blood allowed for the ascendance and mobility of savarna Indians in the late twentieth century. At the same time, the Thind case hinged upon the racialization of caste in India's late-nineteenth-century colonial-caste society. I show how caste-as-blood set in motion new migratory patterns and mobility regimes for perceived dominant caste peoples, which, ultimately, initiated further accumulationist possibilities. My analysis serves to illustrate the complex interactions of race and caste in current global geopolitics, an understanding that is especially important as more and more dominant caste Hindus have intimate relations with and power within the United States. [ABSTRACT FROM AUTHOR]

The article focuses on the Inter-Collegiate Prayer Fellowship (ICPF), a Kerala-based Pentecostal para-church organization, and its impact on the second-generation Malayalee Pentecostals in America. It aims to identify the liminal nature of Kerala Pentecostalism and discuss the cultural and religious identity of second-generation Malayalee Pentecostals. It also describes the history of Malayalee Pentecostals in India.

Indian society has been subjected to a variety of socioeconomic changes brought about by numerous legislative and constitutional efforts. The social fabric and economic structure of Indian society have been altered by the constitutional requirements of a democratic government and the policy of affirmative discrimination. However, Indian society is extremely stratified, with many obvious discrepancies across socioeconomic groups. As a result of this stratification, obvious inequities have emerged among various social groupings. This age-old social stratification is the outcome of the existing caste system, which has isolated SCs, STs, and OBCs from the rest of society to the point where they have been denied even fundamental human necessities and rights that are essential to ensure one's bare existence in the past. Indian society is complex in a way that no other of the world's great civilizations can match. Indian culture has a greater ethnic and linguistic diversity than any other nation. Tribal development has been at the centre stage of the government since independence. There have been challenges in achieving the desired pace of development among tribal people. Education is a driving force, and no civilization could flourish without educating its people. Since the attainment of independence, the government has taken several initiatives, schemes and programmes and allotted funds to different plans to spread education among the tribals. No doubt all these efforts are significant and highly appreciable, but despite all these efforts, the growth rate of education among the tribals and particularly among the tribal girls is very sluggish. Representation of tribal girls in higher education does not meet its expected level. The present attempts to examine the status of education among tribal and find out gaps in their educational development in Uttar Pradesh. [ABSTRACT FROM AUTHOR]

Background: Parent–child racial‐ethnic socialization conversations are an important tool to cultivate a sense of pride and equip youth to deal with discrimination. However, conversations about preparation for racial bias can be particularly difficult for parents to deliver effectively. Little research has been done that illuminates the types of challenges parents within and across racial‐ethnic groups experience with this task. The current qualitative study addresses this gap. Design: The study draws on focus group data collected from parents and children from African American, Chinese American, Mexican American, and Indian American (South Asian) families (N = 138 individuals; 30 focus groups). Coding was done by a racially and ethnically diverse research team using inductive thematic analysis (Braun & Clarke, 2006). Results: Youth and parents reflected on barriers to having effective preparation for bias conversations, including (a) parents' uncertainty in approaching the conversations; (b) tensions in identifying, understanding, and decoding racial discrimination; and (c) generational differences between parents and youth. Conclusion: Themes are unpacked from a social learning perspective, approaching the barriers from a person‐based, context‐based, and behavior‐based point of view. Unique and similar experiences across the racial‐ethnic groups were noted, including perspectives from U.S.‐born and immigrant parents. Implications: The authors share implications for racial‐ethnic socialization intervention strategies with parents are shared. [ABSTRACT FROM AUTHOR]

This article examines the effects of brain drain caused by the migration of knowledge workers from India to the United States of America (USA) during the pre- and post-global financial crisis periods, 2005–2007 and 2011–2013. Data from the Integrated Public Use Microdata Series for the year 2018 are used to compare the different population groups in the USA and to estimate the hourly wages of Indian and White workers using Mincer regression and Oaxaca decomposition. Following Khadria's (2001–2010) analytical propositions, three premium characteristics of Indian-origin workers to the USA consisting of: (1) an age-premium, (2) a wage-premium and (3) a vintage-premium are empirically examined. The findings uphold the theoretical construct and suggest that the migration of Indian knowledge workers to the USA results in brain drain to India and brain gain for the USA. [ABSTRACT FROM AUTHOR]

The process of biological ageing is characterized by vast alternations in physiological and nutritional characteristics and shows immense variation in its onset and survival in different populations. Besides clinical examinations, anthropometric and body composition measurements hold a crucial role to monitor malnutrition, determining the doses of drugs, and examining the improvements after nutrition therapy The present study aims to review the worldwide variation in anthropometry and body composition characteristics to assess the health and nutritional condition of the geriatric population with special reference to the Asian Indian population. 48 works of literature were retrieved using Google Scholar, PUBMED, and Research Gate and manual searching. Body mass index declined with age; waist-hip-ratio increased with age indicating abdominal obesity with special notation among the males. Percentage body fat and fat mass increased with age predominantly in females. Nutritional, psychological, cardiovascular, and cardio-metabolic disorders and age-related hormonal alternations have significant impacts on the anthropometric and body composition characteristics. [ABSTRACT FROM AUTHOR]

Hinduism is the fourth largest religion in the United States; an understanding of Hindu beliefs and practices will help health care providers deliver culturally sensitive care while discussing advance care planning and end-of-life care for adult patients. For many Westerners, the practice of yoga, Ayurveda, and vegetarianism is used by people striving to live healthfully. However, what might be unfamiliar to Westerners is how for Hindus, these practices reflect their millennia-old spirituality and religiosity. Knowing the Hindu beliefs of atman, Brahman, karma, and moksha will help nurses connect to Hindus' various end-of-life wishes. In addition, getting familiar with interrelating factors such as lack of knowledge on palliative care and advance care planning, family dynamics, acculturation, and personal preferences will allow nurses to provide culturally competent care. By facilitating end-of-life conversations at an early stage, nurses can promote confidence and self-efficacy for patients who may fear that their religiosity and personal priorities are trivialized by acculturated family members or disregarded by their adopted homeland. This clinical article provides nurses with information about Asian Indian American Hindus' beliefs and practices, clinical implications for assessment, and suggestions to support patients' and families' end-of-life wishes. [ABSTRACT FROM AUTHOR]